Application form for ODL Courses

Academic Session: 2025-2026 (January Session)

Status

DEB-ID

Select Course *

Name (As Per Matriculation)*

Father's Name*

Mother's Name*

Guardian's name in case of orphan

Date Of Birth(As Per Matriculation)*

Nationality*

Caste*

Select Religion*

Gender*

Male Female

Marital Status*

Single Married Divorced

Whether Physically Challenged

Yes No

Aadhar Card No.*

ABC-ID.

Select Self-learning Material Language*

Select Residential*

Correspondance Address

Address *

Select State *

Select District *

City *

Police Station

Pincode *

If Permanent Address same as Correspondance Address

Permanent Address

Address *

Select State *

Select District *

City *

Police Station

Pincode*

Applicant Email*

Landline No.

Applicant WhatsApp No.*

Education Qualification: (Starting From 10th) Do not use apostrophes in the name of the Board/University.

Working Experience if Any(Years)

No Yes

*Please keep your duly filled application form with Payment Transaction /Reference Number for further references.